Mortality and flexible ureteroscopy: analysis of six cases
Por:
Cindolo, L, Castellan, P, Scoffone, CM, Cracco, CM, Celia, A, Paccaduscio, A, Schips, L, Proietti, S, Breda, A, Giusti, G
Publicada:
1 mar 2016
Resumen:
Purpose Advancements in the endourological equipment have made retrograde intrarenal surgery (RIRS) an attractive, widespread technique, capable of competing with traditional shock wave lithotripsy and percutaneous nephrolithotomy. Since the complication rate is generally low, even less is known about dramatic and fatal complications after RIRS.
Methods We performed a survey asking 11 experienced endourologists to review their RIRS series and report the cases of mortality to their best knowledge.
Results Six urologists reported on six fatal cases. In three cases, a history of urinary tract infections was present. Four patients died from urosepsis, one due to an anesthetic and one due to hemorrhagic complication. The use of ureteral access sheath was not common.
Conclusion Even respecting the standards of care, it may happen that physicians are occasionally tempted to overdo for their patients, sometimes skipping safety rules with an inevitable increase in risks. Despite the fact that RIRS has become a viable option for the treatment of the majority of kidney stones, its complication rates remain low. Nevertheless, rare fatal events may occur, especially in complex cases with a history of urinary tract infections, and advanced neurological diseases.
Filiaciones:
Cindolo, L:
S Pio da Pietrelcina Hosp, Dept Urol, Via San Camillo de Lellis 1, I-66054 Vasto, Italy
Castellan, P:
SS Annunziata Hosp, Dept Urol, Chieti, Italy
Scoffone, CM:
Cottolengo Hosp, Dept Urol, Turin, Italy
Cracco, CM:
Cottolengo Hosp, Dept Urol, Turin, Italy
Celia, A:
San Bassiano Hosp, Dept Urol, Bassano Del Grappa, Italy
Paccaduscio, A:
Legnano Gen Hosp, Legnano, Italy
Schips, L:
S Pio da Pietrelcina Hosp, Dept Urol, Via San Camillo de Lellis 1, I-66054 Vasto, Italy
Proietti, S:
Humanitas Clin & Res Ctr, Dept Urol, Stone Ctr, Rozzano, Italy
Breda, A:
Univ Autonoma Barcelona, Dept Urol, Fdn Puigvert, E-08193 Barcelona, Spain
Giusti, G:
Humanitas Clin & Res Ctr, Dept Urol, Stone Ctr, Rozzano, Italy
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